Associação entre insuficiência de convergência ocular e disfunção temporomandibular: estudo transversal
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/2314 |
Resumo: | Introduction: Temporomandibular Dysfunction (TMD) is a complex and multifactorial condition, being the most common orofacial pain condition of non-dental origin, and taking into account that changes in the temporomandibular joint (TMJ) may be related to the cranio-cervico-mandibular knowing that the structures that give rise to the nerves that control extraocular movements (MEOs) have proximity to the structures that control the sensitive and motor parts of the face and, in turn, with the musculature of the eyeball, the following question arises : do individuals with TMD have insufficient eye convergence? Objective: The main objective of this study is to assess and identify whether there is an association between insufficient eye convergence and TMD and the secondary objective is to assess whether there is an association of pain with mandibular range of motion in the different degrees of TMD. Methodology: 138 individuals with TMD were included in the study (77.46% female, 22.10% male), with an average age of 26.51 ± 6.14 years and 46 individuals without TMD (28.2% male, 71.7% female) , with an average age of 25.52 ± 5.81 years. All were assessed using the Diagnostic Criteria for Researching Temporomandibular Disorders (RDC / TMD), Fonseca's Anamnesis Index (IAF), Numerical Pain Scale (END) and Mandibular Range of Movement (ADM) using Pachymetry. To assess and diagnose ocular convergence, the Convergence Test (CT) and the Eye Convergence Insufficiency Symptoms (CISS) questionnaire were applied. The univariate analysis of variance (ANOVA) with Bonferroni's test post hoc was used to compare age and mouth opening and that of Kruskal-Wallis with Dunn's test post hoc to check mouth opening and pain between groups after the abnormality of data be verified by the Shapiro Wilk test. The test of Chi-square was applied to assess the association between TMD subgroups according to the Fonseca Anamnesis Index, with gender and ocular convergence. The level of significance accepted was p <0.05. Results: It was possible to observe the prevalence of individuals with convergence for all groups: without TMD (91%), mild TMD (84.7%), moderate TMD (89%), severe TMD (67.3%). However, convergence cannot be modified with the degree of TMD, that is, according to the increase in the severity of TMD, there is no increase in inconvergent individuals (p <0.003). We also observed a predominance of the right side being inconvergent. Regarding pain, the averages of all levels of severity were statistically different in relation to the healthy group (p <0.01: Dunn’s post-hoc test). In addition, it was possible to observe that the mouth opening decreases significantly (p <0.01: Dunn’s test post hoc) according to severity. Conclusion: Based on the results of the present study, the prevalence of individuals with normal convergence is higher for all groups of TMD severity and for the group without TMD, that is, the convergence cannot be modified with the degree of TMD. |
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Gonzalez, Daniela Aparecida BiasottoPolitti, FabianoGonzalez, Daniela Aparecida BiasottoTanganeli, João PauloWitzel, Andrea Lusvarghihttp://lattes.cnpq.br/3670212059986431Santos, Douglas Meira dos2020-10-28T20:12:18Z2019-12-10Santos, Douglas Meira dos. Associação entre insuficiência de convergência ocular e disfunção temporomandibular: estudo transversal. 2019. 72 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/2314Introduction: Temporomandibular Dysfunction (TMD) is a complex and multifactorial condition, being the most common orofacial pain condition of non-dental origin, and taking into account that changes in the temporomandibular joint (TMJ) may be related to the cranio-cervico-mandibular knowing that the structures that give rise to the nerves that control extraocular movements (MEOs) have proximity to the structures that control the sensitive and motor parts of the face and, in turn, with the musculature of the eyeball, the following question arises : do individuals with TMD have insufficient eye convergence? Objective: The main objective of this study is to assess and identify whether there is an association between insufficient eye convergence and TMD and the secondary objective is to assess whether there is an association of pain with mandibular range of motion in the different degrees of TMD. Methodology: 138 individuals with TMD were included in the study (77.46% female, 22.10% male), with an average age of 26.51 ± 6.14 years and 46 individuals without TMD (28.2% male, 71.7% female) , with an average age of 25.52 ± 5.81 years. All were assessed using the Diagnostic Criteria for Researching Temporomandibular Disorders (RDC / TMD), Fonseca's Anamnesis Index (IAF), Numerical Pain Scale (END) and Mandibular Range of Movement (ADM) using Pachymetry. To assess and diagnose ocular convergence, the Convergence Test (CT) and the Eye Convergence Insufficiency Symptoms (CISS) questionnaire were applied. The univariate analysis of variance (ANOVA) with Bonferroni's test post hoc was used to compare age and mouth opening and that of Kruskal-Wallis with Dunn's test post hoc to check mouth opening and pain between groups after the abnormality of data be verified by the Shapiro Wilk test. The test of Chi-square was applied to assess the association between TMD subgroups according to the Fonseca Anamnesis Index, with gender and ocular convergence. The level of significance accepted was p <0.05. Results: It was possible to observe the prevalence of individuals with convergence for all groups: without TMD (91%), mild TMD (84.7%), moderate TMD (89%), severe TMD (67.3%). However, convergence cannot be modified with the degree of TMD, that is, according to the increase in the severity of TMD, there is no increase in inconvergent individuals (p <0.003). We also observed a predominance of the right side being inconvergent. Regarding pain, the averages of all levels of severity were statistically different in relation to the healthy group (p <0.01: Dunn’s post-hoc test). In addition, it was possible to observe that the mouth opening decreases significantly (p <0.01: Dunn’s test post hoc) according to severity. Conclusion: Based on the results of the present study, the prevalence of individuals with normal convergence is higher for all groups of TMD severity and for the group without TMD, that is, the convergence cannot be modified with the degree of TMD.Introdução: A Disfunção Temporomandibular (DTM) é um quadro complexo e multifatorial, sendo a condição de dor orofacial mais comum de origem não dentária, e levando em consideração que as alterações na articulação temporomandibular (ATM) podem estar relacionadas à região crânio-cervico-mandibular, sabendo que as estruturas que dão origem aos nervos que comandam os movimentos extraoculares (MEOs) têm uma proximidade das estruturas que controlam a parte sensitiva e motora da face e, por sua vez, com a musculatura do globo ocular, surge a seguinte pergunta: será que indivíduos com DTM apresentam insuficiência de convergência ocular? Objetivo: O objetivo principal deste estudo é avaliar e identificar se há associação entre insuficiência convergência ocular e DTM e o objetivo secundário é avaliar se há associação de dor com amplitude de movimento mandibular nos diferentes graus de DTM. Metodologia: Foram incluídos no estudo 138 indivíduos com DTM (77.46% do gênero feminino, 22.10% do gênero masculino), com idade média de 26.51±6.14 anos e 46 indivíduos sem DTM (28.2% do gênero masculino, 71.7% do gênero feminino), com idade média de 25.52 ± 5.81 anos. Todos foram avaliados por meio do Critério Diagnóstico para Pesquisa das Desordens Temporomandibulares (RDC/TMD), Índice Anamnésico de Fonseca (IAF), Escala Numérica de Dor (END) e a Amplitude de Movimento Mandibular (ADM) por meio da Paquimetria. Para avaliar e diagnosticar a convergência ocular foi aplicado o Teste de Convergência (TC) e o questionário de Sintomas de Insuficiência de Convergência Ocular (CISS). A análise de variância (ANOVA) univariada com test post hoc de Bonferroni foi utilizada para comparar a idade e a abertura bucal e o de Kruskal-Wallis com test post hoc de Dunn’s para verificar a abertura bucal e dor entre os grupos após a anormalidade dos dados ser verificada pelo teste de Shapiro Wilk. O teste do Qui-quadrado foi aplicado para avaliar a associação entre os subgrupos de DTM de acordo com o Índice Anamnésico de Fonseca, com gênero e a convergência ocular. O nível de significância aceito foi de p < 0.05. Resultados: Foi possível observar a prevalência de indivíduos com convergência para todos os grupos: sem DTM (91%), DTM leve (84.7%), DTM moderada (89%), DTM grave (67,3%) . Porém a convergência não pode ser modificada com o grau de DTM, ou seja, conforme o aumento da severidade da DTM, não há um aumento de indivíduos inconvergentes (p<0.003). Também observamos um predomínio do lado direito ser inconvergente. Em relação à dor, as médias de todos os níveis de severidade foram estatisticamente diferentes em relação ao grupo saudável (p <0,01: Test post hoc de Dunn’s). Além disso, foi possível observar que a abertura bucal diminui de forma significativa (p <0,01: Test post hoc de Dunn’s) de acordo com a severidade. Conclusão: Mediante os resultados do presente estudo a prevalência de indivíduos com convergência normal são maiores para todos os grupos de severidade de DTM e para o grupo sem DTM, ou seja, a convergência não pode ser modificada com o grau de DTM.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2020-10-28T20:12:18Z No. of bitstreams: 1 DOUGLAS MEIRA DOS SANTOS.pdf: 2308900 bytes, checksum: 1bc1abd95d4330bfb0082d262ca05ce2 (MD5)Made available in DSpace on 2020-10-28T20:12:18Z (GMT). No. of bitstreams: 1 DOUGLAS MEIRA DOS SANTOS.pdf: 2308900 bytes, checksum: 1bc1abd95d4330bfb0082d262ca05ce2 (MD5) Previous issue date: 2019-12-10application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBrasilSaúdetranstornos da articulação temporomandibularconvergência oculartranstornos da motilidade oculartemporomandibular joint disordersocular convergenceocular motility disordersCIENCIAS DA SAUDEAssociação entre insuficiência de convergência ocular e disfunção temporomandibular: estudo transversalAssociation between convergence insufficiency and temporomandibular disorder: cross-sectional studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALDOUGLAS MEIRA DOS SANTOS.pdfDOUGLAS MEIRA DOS SANTOS.pdfapplication/pdf2308900http://localhost:8080/tede/bitstream/tede/2314/2/DOUGLAS+MEIRA+DOS+SANTOS.pdf1bc1abd95d4330bfb0082d262ca05ce2MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2314/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/23142022-05-27 16:28:51.123oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2022-05-27T19:28:51Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Associação entre insuficiência de convergência ocular e disfunção temporomandibular: estudo transversal |
dc.title.alternative.eng.fl_str_mv |
Association between convergence insufficiency and temporomandibular disorder: cross-sectional study |
title |
Associação entre insuficiência de convergência ocular e disfunção temporomandibular: estudo transversal |
spellingShingle |
Associação entre insuficiência de convergência ocular e disfunção temporomandibular: estudo transversal Santos, Douglas Meira dos transtornos da articulação temporomandibular convergência ocular transtornos da motilidade ocular temporomandibular joint disorders ocular convergence ocular motility disorders CIENCIAS DA SAUDE |
title_short |
Associação entre insuficiência de convergência ocular e disfunção temporomandibular: estudo transversal |
title_full |
Associação entre insuficiência de convergência ocular e disfunção temporomandibular: estudo transversal |
title_fullStr |
Associação entre insuficiência de convergência ocular e disfunção temporomandibular: estudo transversal |
title_full_unstemmed |
Associação entre insuficiência de convergência ocular e disfunção temporomandibular: estudo transversal |
title_sort |
Associação entre insuficiência de convergência ocular e disfunção temporomandibular: estudo transversal |
author |
Santos, Douglas Meira dos |
author_facet |
Santos, Douglas Meira dos |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Gonzalez, Daniela Aparecida Biasotto |
dc.contributor.advisor-co1.fl_str_mv |
Politti, Fabiano |
dc.contributor.referee1.fl_str_mv |
Gonzalez, Daniela Aparecida Biasotto |
dc.contributor.referee2.fl_str_mv |
Tanganeli, João Paulo |
dc.contributor.referee3.fl_str_mv |
Witzel, Andrea Lusvarghi |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3670212059986431 |
dc.contributor.author.fl_str_mv |
Santos, Douglas Meira dos |
contributor_str_mv |
Gonzalez, Daniela Aparecida Biasotto Politti, Fabiano Gonzalez, Daniela Aparecida Biasotto Tanganeli, João Paulo Witzel, Andrea Lusvarghi |
dc.subject.por.fl_str_mv |
transtornos da articulação temporomandibular convergência ocular transtornos da motilidade ocular |
topic |
transtornos da articulação temporomandibular convergência ocular transtornos da motilidade ocular temporomandibular joint disorders ocular convergence ocular motility disorders CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
temporomandibular joint disorders ocular convergence ocular motility disorders |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Introduction: Temporomandibular Dysfunction (TMD) is a complex and multifactorial condition, being the most common orofacial pain condition of non-dental origin, and taking into account that changes in the temporomandibular joint (TMJ) may be related to the cranio-cervico-mandibular knowing that the structures that give rise to the nerves that control extraocular movements (MEOs) have proximity to the structures that control the sensitive and motor parts of the face and, in turn, with the musculature of the eyeball, the following question arises : do individuals with TMD have insufficient eye convergence? Objective: The main objective of this study is to assess and identify whether there is an association between insufficient eye convergence and TMD and the secondary objective is to assess whether there is an association of pain with mandibular range of motion in the different degrees of TMD. Methodology: 138 individuals with TMD were included in the study (77.46% female, 22.10% male), with an average age of 26.51 ± 6.14 years and 46 individuals without TMD (28.2% male, 71.7% female) , with an average age of 25.52 ± 5.81 years. All were assessed using the Diagnostic Criteria for Researching Temporomandibular Disorders (RDC / TMD), Fonseca's Anamnesis Index (IAF), Numerical Pain Scale (END) and Mandibular Range of Movement (ADM) using Pachymetry. To assess and diagnose ocular convergence, the Convergence Test (CT) and the Eye Convergence Insufficiency Symptoms (CISS) questionnaire were applied. The univariate analysis of variance (ANOVA) with Bonferroni's test post hoc was used to compare age and mouth opening and that of Kruskal-Wallis with Dunn's test post hoc to check mouth opening and pain between groups after the abnormality of data be verified by the Shapiro Wilk test. The test of Chi-square was applied to assess the association between TMD subgroups according to the Fonseca Anamnesis Index, with gender and ocular convergence. The level of significance accepted was p <0.05. Results: It was possible to observe the prevalence of individuals with convergence for all groups: without TMD (91%), mild TMD (84.7%), moderate TMD (89%), severe TMD (67.3%). However, convergence cannot be modified with the degree of TMD, that is, according to the increase in the severity of TMD, there is no increase in inconvergent individuals (p <0.003). We also observed a predominance of the right side being inconvergent. Regarding pain, the averages of all levels of severity were statistically different in relation to the healthy group (p <0.01: Dunn’s post-hoc test). In addition, it was possible to observe that the mouth opening decreases significantly (p <0.01: Dunn’s test post hoc) according to severity. Conclusion: Based on the results of the present study, the prevalence of individuals with normal convergence is higher for all groups of TMD severity and for the group without TMD, that is, the convergence cannot be modified with the degree of TMD. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019-12-10 |
dc.date.accessioned.fl_str_mv |
2020-10-28T20:12:18Z |
dc.type.status.fl_str_mv |
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info:eu-repo/semantics/masterThesis |
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dc.identifier.citation.fl_str_mv |
Santos, Douglas Meira dos. Associação entre insuficiência de convergência ocular e disfunção temporomandibular: estudo transversal. 2019. 72 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/2314 |
identifier_str_mv |
Santos, Douglas Meira dos. Associação entre insuficiência de convergência ocular e disfunção temporomandibular: estudo transversal. 2019. 72 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/2314 |
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openAccess |
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UNINOVE |
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Brasil |
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Saúde |
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Universidade Nove de Julho |
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